Individual
CHARMAINE ORINO SEVERO-GUEVARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6851 SAN RAFAEL CT, FONTANA, CA 92336-5064
(805) 453-8710
Mailing address
6851 SAN RAFAEL CT, FONTANA, CA 92336-5064
(805) 453-8710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017248
CA
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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